396 O their lifetime, persons with mental disorders seek initial treatment from clergy more frequently than from psychiatrists or general medical doctors, and a majority who seek treatment from clergy do so to the exclusion of other providers (1). However, little is known about the relationship between religion and use of the mental health care system. We examined the use of prescription mental health medications and religious service attendance. Persons who attend more frequently may be more likely to seek help from clergy than from mental health professionals. We focus on medications to reduce ambiguity about the religious affiliation of mental health providers. We used data from the 2003 National Survey on Drug Use and Health (NSDUH) (2). We measured rates of medication use among adults (unweighted N= 10,126) who had one or more symptoms of mental disorders in the past year. Symptoms of mental disorders were measured by using questions adapted from the Composite International Diagnostic Interview–Short Form (3). We estimated that 32 percent of those with a symptom of mental disUse of Prescription Psychiatric Drugs and Religious Service Attendance